| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,716 |
28,603 |
$2.96M |
| 00003 |
Internal/system code - not a standard HCPCS code |
7,540 |
4,491 |
$1.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,806 |
7,695 |
$19K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
516 |
481 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,563 |
2,112 |
$5K |
| 90750 |
|
488 |
445 |
$5K |
| 90746 |
|
336 |
300 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,797 |
1,578 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
506 |
460 |
$2K |
| 90686 |
|
444 |
393 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
37 |
35 |
$2K |
| 90715 |
|
56 |
48 |
$566.14 |
| 90688 |
|
135 |
124 |
$458.80 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
200 |
167 |
$320.47 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
41 |
$259.07 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
365 |
345 |
$235.90 |
| 99385 |
|
14 |
12 |
$228.20 |
| 90832 |
Psychotherapy, 30 minutes with patient |
537 |
377 |
$151.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,357 |
2,173 |
$31.67 |
| 81025 |
|
27 |
24 |
$8.40 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
88 |
82 |
$3.36 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
62 |
61 |
$2.80 |
| Z1034 |
|
443 |
358 |
$0.00 |
| Z6410 |
|
23 |
23 |
$0.00 |
| 92551 |
|
57 |
44 |
$0.00 |
| 3074F |
|
104 |
101 |
$0.00 |
| Z6402 |
|
37 |
36 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
15 |
$0.00 |
| 85018 |
|
14 |
14 |
$0.00 |
| Z1032 |
|
13 |
13 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 81002 |
|
741 |
609 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
885 |
874 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
94 |
$0.00 |
| 99173 |
|
61 |
53 |
$0.00 |
| 99188 |
|
34 |
26 |
$0.00 |
| Z6300 |
|
36 |
35 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
35 |
27 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
17 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
17 |
$0.00 |
| Z6400 |
|
46 |
45 |
$0.00 |
| 3078F |
|
33 |
31 |
$0.00 |